Maria Guadalupe Cruz, DNP, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

200580-4402 Issued in UT

Practice address

34 S 500 E Ste 207
Salt Lake City, UT 84102-1065

Phone

(801) 560-0930

Fax

(801) 531-0930

NPI assigned

Nov 5, 2013

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ma Bo IncGroup PAC ID 1254399652, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ma Bo Inc

  dba House Call Doctors

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1740461219
  Medicare reassignment Care Compare group NPD
• Centro de Salud-Cruz

  • Primary Care Clinic/Center
  • Salt Lake City, UT
  • NPI 1770060980
  Authorized official Same address or phone
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1275182487
  NPD
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1588185581
  NPD
• Wasatch Midwifery and Wellness, LLC

  • Midwife
  • Holladay, UT
  • NPI 1912430588

  Registered Nurse

  NPD (past)
• Wasatch Midwifery Center, LLC

  • Birthing Clinic/Center
  • Holladay, UT
  • NPI 1679006241
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1538598065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S 500 E STE 207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021065",
            "telephone_number": "801-560-0930",
            "fax_number": "801-531-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S 500 E STE 207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021065",
            "telephone_number": "801-560-0930",
            "fax_number": "801-531-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 S Wasatch Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841213539",
            "country_code": "US",
            "telephone_number": "385-237-1568",
            "fax_number": "385-557-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "credential": "DNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "200580-4405",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "200580-4402",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "200580-3102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538598065",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1770060980",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Raymond Cruz
• Danielle Juveann Cruz
• Isis Cruz
• Kevin Cruz
• Lindsay Cruz
• Michelle Cruz
• Nathan Ray Cruz, CMHC
• Paul Anthony Cruz
• Sandra Ann Cruz, CM
• Victor De Jesus Cruz

• Advanced Practice Midwife in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Advanced Practice Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.